Individual
DR. BRIAN LEWIS KOPPELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31 OAK ST SUITE 2, PATCHOGUE, NY 11772
(631) 475-1532
Mailing address
31 OAK ST SUITE 2, PATCHOGUE, NY 11772
(631) 475-1532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046566
NY
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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